Alyssa Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1160 E 3900 S Ste 1200
Salt Lake City, UT 84124-1251

Phone

(801) 261-9651

Fax

(801) 261-9656

NPI assigned

Oct 3, 2018

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyssa.smith.1@15147.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Physicians Care Centers PC

  • Internal Medicine Physician
  • Salt Lake City, UT
  • NPI 1396761193
  Medicare reassignment
• Utah Physicians Care Center

  dba Alta View Internal Medicin

  • Internal Medicine Physician
  • Sandy, UT
  • NPI 1821193897
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1407321680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 S WATERBURY WAY STE B102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216209",
            "telephone_number": "801-274-2000",
            "fax_number": "801-274-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241251",
            "telephone_number": "801-261-9651",
            "fax_number": "801-261-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander James Barker Smith, MS, RD
• Alicia Smith, L.C.S.W.
• Alicia B Smith, OTR/L
• Alison L Smith, M.D., MPH
• Allison Marie Smith, PH.D.
• Amy S Smith, M.D.
• Andrea Jill Smith, DPT
• Andrea Nicole Smith, M.D.
• Andrew Smith
• Andrew Gerald Smith, M.D.

• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.